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Ablation vs Hystrectomy
Perimenopausal breast cancer survivor on tamoxifen. After 4 months, diagnosed with AUB due to simple hyperplasia and polyps. Given a choice of hystrectomy or Ablation. Can't find any literature regarding ablation followup care since tamoxifen would be continued for 2-3 more years. What is the risk of endometrial carcinoma or other gyn issues after ablation since tamoxifen would still be providing an estrongenic effect?
Ablation would clean out the surface of your uterus, and take with it anything microscopic and questionable. However, if you are right next door to menopause, were it me with your history, I would go for the hysterectomy to protect myself from cancer there/ovaries too. This is a difficult question for you to answer......I hope this helps you. Good Luck!
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